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they grew and festered in his throat. From November to May he was never without a cold, quinsy, an earache. The winter of 1921 was a particularly bad one for Paul. He began by getting influenza which turned into pneumonia, caught measles during his convalescence and developed at the New Year an infection of the middle ear which threatened to leave him permanently deaf. The doctor peremptorily advised an operation, treatment, convalescence in Switzerland, at an altitude and in the sun. Martha hesitated to follow his advice. She had come to be so firmly convinced of her poverty that she did not see how she could possibly afford to do what the doctor ordered. In her perplexity she wrote to her sister, Judith. Two days later Judith arrived in person.

"But do you want to kill the boy?" she asked her sister fiercely. "Why don't you get him out of this filthy dank whole week ago? In a few hours she had arranged everything. Hurbert and Marta were to start at once with the boy.

(From The Claxton by A. Huxley ) F. Read and translate the following passage into Russian. Describe the doctor's visit. Say in what way the girl's reaction is characteristic of young children under such circumstances.

The girl had a fever for three days began the father, and we don't know what it comes from... So we tho't you'd better look her over and tell us what is the matter...

As it happens we had been having a number of cases of diphtheria in the school to which this child went during that month and we were all, quite apparently, thinking of that, though no one had as yet spoken of the thing.

Well, I said, suppose we take a look at the throat first. I smiled in my best professional manner and asking for the child's first name I said, come on, Mathilda, open your mouth and let's take a look at your throat.

Nothing doing.

Aw, come on, I coaxed, just open your mouth wide and let me take a look. Look, I said, opening both hands wide, I haven't anything in my hands. Just open up and let me see...

Not a move. Even her expression hadn't changed. Her breaths however were coming faster and faster. Then the battle began...

I grasped the child's head with my left hand and tried to get the wooden tongue depressor between her teeth. She fought, with clenched teeth, desperately!

Perhaps I should have desisted and come back in an hour or more. No doubt it would have been better. But I have seen at least two children lying dead in bed of neglect in such cases, and feeling that I must get a diagnosis now or never I went at it again... In a final unreasoning assault I overpowered the child's neck and jaws. I forced the heavy silver spoon back of her teeth and down her throat till she gagged. And there it was - both tonsils covered with membrane. She had fought valiantly to keep me from knowing her secret.

She had been hiding that sore throat for three days at least and lying her parents in order to escape just such an outcome as this.

(From The Use of Force by W. C. Williams) XXI. Speak on one of the following topics. Use the idioms 1. A touch of flu. 2. A visit to the doctor. 3. Visiting a sick friend.

4. Curing a patient. 5. Never say die.

PROJECT 1. In the passages quoted below substitute the phraseological units for words and word combinations which will express the same denotational meaning. (Make whatever structural changes the substitution may call for.) 2. Compare the passages you have got with the original text and say what co notational implications the phraseological units add to the bits of text you've analyzed.

1. He went on working hoping against hope that one day he would make good. 2.

When John Condon left, Mrs. Hastings was all to pieces. 3. The people are dying like flies. 4.1 should he frightened out of my wits. 5. He felt as if he were under an intolerable physical strain, as if his body were likely at any moment to fly to pieces. 6.

Moros blood turned to ice. 7. He leaned his head back wearily against the wall and lost his consciousness, half fainting and half falling into an exhausted sleep. 8. Jimmy Carde had had a miraculous escape from death. He was saved largely by Mr. Everard's pile of blankets;

and was now in hospital with broken ribs, two broken legs, and a fractured skull. He was declared to be in no immediate danger, and likely to recover. Two of the boys who had tried to break his fall were also in hospital with concussion. 9. The old man looked ashy grey with his sleepless night. 10. He'll take a breakdown if doesn't take care, but he won't spare himself. 11. The doctors reported him fit for duty. 12. Anything might happen. He might cut himself or break his leg or really catch a bad cold. 13. He's conscious, but he's going. There is nothing I can do. If you want him to die in peace, better if his friends go up. He's frightened about something. 14. When I came round that other time, I thought that I'd been dead.

3. Compose a story of about 100 words using the following ideas.

Title: A Doctor's Visit.

Introduction: Your friend is aching all over. His (her) mother calls in a doctor.

Development: Your friend is making complaints. The doctor is giving him (her) a thorough examination. The doctor gives him (her) advice.

Conclusion: Your friend follows the doctor's advice and is quite well again.

ULCER AND ITS CHARACTERISTICS Ulcer. It is an open discontinuation on the skin or on mucous membrane. Ulcer may be shallow or deep. It is usually inflamed and painful. Skin ulcers are common on legs.

Mucous membrane ulcer develops in mouth and GIT. Skin can also be affected in case of Venereal disease (VD). Corneal ulcers are also common.

Ulcer, aphthous. It is a chronic inflammatory disease characterized by repeated episodes of oval or round ulceration of oral mucosa especially on lips, cheeks and soft palate. It starts with burning pain lasting for 1-2 days followed by appearance of small white area or red raised papule on mucosa. Microscopically non-ulcerative stage shows non-nuclear and lymphocytic infiltration. After ulceration the lesion shows polymorphonuclear leucocytes, oedema and fibroblastic proliferation. Treatment is symptomatic only. Tetracycline has been used for oral rinse as well as four times daily orally. Corticosteroids have also been used.

Ulcer edge.There are different types of ulcer edge. Punched-out edge follows death.

Slopping edge indicates that ulcer is shallow and epithelium is growing in from the edge in an attempt to heal it found in venous ulcers. Undermined edge affects the subcutaneous tissues or deeper tissues more than skin or superficial tissues found in tuberculous and amoebic ulcer. Averted edge of the ulcer is growing quickly and spilling out of ulcer to overlap normal skin found in squamous cell carcinoma. Rolled-out or beaded ulcer is found in basal cell cancer.

Ulcer healing drugs. These are the drugs used in healing and preventing peptic ulcer specially. Histamine-2 receptor antagonist works by blocking the effects of histamine.

Such drugs are famotidine and ranitidine;

other groups of drugs such as sucralfate are believed to form a protective layer over ulcer. Antacids are also effective.

III. Make up word-combinations 1. corneal a. ulceration 2. lymphocytic b. discontinuation 3. burning c. pain 4. open d. leukocytes 5. venous e. papule 6. slopping f. ulcer (6) 7. basal cell g. disease 8. beaded h. edge (4) 9. mucous i. tissues 10. oral j. mucosa 11. rolled-out k. membrane 12. amoebic l. cancer 13. undermined m. proliferation 14. venereal 15. round 16. averted 17. subcutaneous 18. polymorphonuclear 19. punched-out 20. fibroblastic 21. raised 22. aphthous IV. Match the following English set-expressions with the Russian ones a. , b. c. / d. e. / f. g. 1. Burning pain 2. Punched- out edge 3. Slopping edge 4. Undermined edge 5. Amoebic ulcer 6. Averted edge 7. Rolled-out ulcer/ beaded ulcer V. Choose the right version from the brackets 1. Ulcer may be found on the skin or on (papule, mucous membrane, polymorphonuclear leucocytes).

2. Chronic inflammatory disease characterized by repeated episodes of oval or round ulceration of oral mucosa is called (amoebic, beaded, aphthous) ulcer.

3. (Burning, stinging, throbbing) pain during aphthous ulcer lasts about 1- days.

4. (Averted, punched-out, slopping) edge leads to death.

5. The subcutaneous tissues are affected by (beaded ulcer, undermined edge, corneal ulcer) more than skin or superficial tissues found in tuberculous and amoebic ulcer.

6. Squamous cell carcinoma is connected with (undermined, averted, slopping) edge of the ulcer.

7. Rolled-out or (amoebic, beaded, basal) ulcer is found in basal cell cancer.

VI. Discuss Lenharts and Leubes diets in dialogue. Use idioms in your discussion Under the doctor for Take ones life in ones own hands Nurse smb back to health Bring smb to life Be on call Alive and kicking Feel fit Feel quite oneself (As) fine/fit as a fiddle 1st day 2 eggs+200 ml of milk 2nd day 3 eggs +300 ml of milk Breakfast One piece of bread (50 g) Pre-lunch 300 ml of milk Mashed potato (50 g) Lunch Toasted bread (50 g) Butter (20 ml) 300 ml of milk Evening Biscuit (50 g) Butter (20 g) Night 300 ml of milk

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